Li Zi-Jun, Jia Zhen-Xiang, Zheng Ya-Qin
Department of Gynecology, ZheJiang QuHua Hospital, QuZhou, ZheJiang.
Department of Gynecology, Women and Children Hospital of TaiAn, TaiAn, ShanDong, China.
Medicine (Baltimore). 2020 May 22;99(21):e20006. doi: 10.1097/MD.0000000000020006.
To review the results of a novel method of subtotal hysterectomy, called anterograde vaginal subtotal hysterectomy (AVSH), and to compare them with those of laparoscopic subtotal hysterectomy (LSH).We recruited 100 women with non-prolapsed uteruses and benign lesions of the uterus who required surgery. Of these, 60 underwent AVSH and 40 underwent LSH. Clinical data included average operation time, average volume of bleeding, postoperative anal exsufflation time, operative complications, average length of hospital stay and average hospital maintenance fee.There were no significant differences in terms of average operation time, average length of hospital stay, or operative complications between the AVSH and LSH groups. The AVSH group showed early postoperative anal exsufflation (P = .000), and had a low average hospital maintenance fee (P = .000). The AVSH group showed a higher perioperative bleeding volume than the LSH group (P = .001), which may be a result of the relatively amateur AVSH technique.AVSH is a minimally invasive, safe and feasible surgical procedure, with favorable early postoperative anal exsufflation and a low average hospital maintenance fee.
回顾一种新型次全子宫切除术——顺行阴道次全子宫切除术（AVSH）的结果，并将其与腹腔镜次全子宫切除术（LSH）的结果进行比较。我们招募了100名患有非脱垂子宫且子宫有良性病变、需要手术的女性。其中，60例行AVSH，40例行LSH。临床数据包括平均手术时间、平均出血量、术后肛门排气时间、手术并发症、平均住院时间和平均住院费用。AVSH组和LSH组在平均手术时间、平均住院时间或手术并发症方面无显著差异。AVSH组术后肛门排气较早（P = 0.000），且平均住院费用较低（P = 0.000）。AVSH组围手术期出血量高于LSH组（P = 0.001），这可能是由于AVSH技术相对不够熟练所致。AVSH是一种微创、安全且可行的手术方法，术后肛门排气早，平均住院费用低。
